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Influence of Transurethral Resection of Bladder Cancer on Sexual Function, Anxiety, and Depression

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Clinical Medicine Research

Part of the book series: Advances in Experimental Medicine and Biology ((CLEXBI,volume 1116 ))

Abstract

The standard of care in non-muscle invasive bladder cancer consists of transurethral tumor resection. The aim of this study was to evaluate the influence of transurethral resection of bladder tumor (TURB) on the patients’ self-reported depression, anxiety, sexual satisfaction, and erectile dysfunction. Psychological condition of 252 male patients who underwent TURB was prospectively evaluated. The Hospital Anxiety and Depression Scale (HADS), simplified International Index of Erectile Function (IIEF-5), and Sexual Satisfaction Questionnaires (SSQ) were administered to patients before and 10 days after tumor resection. We found that primary anxiety, depression, and erectile dysfunction were all worse in cancer patients than those in the general population, and all further worsened after tumor resection. The post-resection worsening was influenced by the operation and catheterization time, complications, and the tumor characteristics. Taxonomical analysis shows that the greatest risk of depression aggravation concerned patients who were younger, had a higher body mass index, and a medium-sized tumor. We conclude that transurethral resection of non-muscle invasive bladder cancer may adversely affect sexual function, anxiety, and depression. Patients should be informed about potential complications to prevent the abandonment of a follow-up. The findings of this study stress the role of personalized medicine pursued by a multidisciplinary medical team.

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Acknowledgments

This research did not receive any specific grants from public, commercial, or nonprofit agencies.

Conflicts of Interest

The authors declare no conflicts of interest in relation to this article.

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Authors and Affiliations

  1. Department of Urology and Oncological Urology, Wrocław Medical University, Wrocław, Poland

    Wojciech Krajewski, Bartosz Bieżyński, Fryderyk Menzel, Małgorzata Mazur & Romuald Zdrojowy

  2. Department of Physiotherapy, Opole Medical School, Opole, Poland

    Urszula Halska

  3. Department of General, Oncological and Functional Oncology, Medical University of Warsaw, Warsaw, Poland

    Sławomir Poletajew & Mateusz Matyjasek

  4. Department of Urology and Oncologic Urology, Lower Silesian Specialistic Hospital, Wrocław, Poland

    Radosław Piszczek

  5. Department of Social Medicine, Wrocław Medical University, Wrocław, Poland

    Andrzej Tukiendorf

  6. Department of Psychiatry, Wrocław Medical University, Wrocław, Poland

    Joanna Rymaszewska

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  1. Wojciech Krajewski
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Correspondence to Wojciech Krajewski .

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  1. Opole Medical School, Opole, Poland

    Mieczyslaw Pokorski

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Krajewski, W. et al. (2018). Influence of Transurethral Resection of Bladder Cancer on Sexual Function, Anxiety, and Depression. In: Pokorski, M. (eds) Clinical Medicine Research. Advances in Experimental Medicine and Biology(), vol 1116 . Springer, Cham. https://doi.org/10.1007/5584_2018_264

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